Vice President, Quality & Patient Safety

Req Number: DW511
Location: Honolulu, Hawaii
Posted: 2/3/2021
Category: Government/Not-For-Profit : Education
Job Type: Permanent

We have been retained by The Queen's Health Systems (QHS), located in Honolulu, Hawaii, to identify a Vice President, Quality & Patient Safety to design and promote the advancement of quality and patient safety initiatives to improve the performance, outcomes and patient experience. The Queen’s Health Systems (QHS) is a non-profit multi-corporate health care organization with a legacy of caring for the people of Hawaii. The organization has net annual revenues of approximately $1.3 billion.

Position -- Vice President, Quality & Patient Safety
Organization -- The Queen’s Health Systems
Location -- Honolulu, Hawaii
Reporting Relationship -- The Vice President, Quality & Patient Safety will report to the SVP, Chief Quality Officer, Dr. Todd Allen.
Website --

Organization background/culture

The Queen’s Health Systems (QHS) is a non-profit multi-corporate health care organization with a legacy of caring for the people of Hawaii which dates back to 1859.  Hawaii’s oldest and most distinguished family of hospitals and health care companies, QHS provides preventive and specialty health care services through more than 70 locations throughout Hawaii, Guam and Saipan, including four hospitals – The Queen’s Medical Center (575 licensed acute beds), The Queen’s Medical Center – West Oahu (80 beds), North Hawaii Community Hospital (35 beds), and Molokai General Hospital (15 beds).  QHS also owns Queen’s Medical Group, a multi-specialty group of more than 200 employed physicians covering 17 subspecialties in acute care services, hospital-based and primary care. QMG’s vision is to be the preeminent medical group of the Pacific, leading the delivery of high quality, compassionate patient care that is continually advancing through education and research.

With more than 7,300 employees and over 1,600 physicians networked statewide, QHS became Hawaii’s largest private employer in 2017. The organization has net annual revenues of approximately $1.3 billion and an endowment comprised of real estate assets with an estimated market value of approximately $1.0 billion and a financial investment portfolio of approximately $1.3 billion.  QHS recently received an AA- credit rating from S&P with a stable outlook.

Queen’s began with a single hospital (The Queen’s Hospital) founded in 1859 by Hawaii’s Queen Emma and King Kamehameha IV to address the health care needs of their people at a time when epidemics were devastating the Hawaiian population.  The Hospital became The Queen’s Medical Center in 1967 and The Queen’s Health Systems was established in 1985 to provide expanded health care services to the people of Hawaii and the Pacific Basin.   

The mission of The Queen’s Health Systems is “To fulfill the intent of Queen Emma and King Kamehameha IV to provide in perpetuity health care services to improve the well-being of Native Hawaiians and all of the people of Hawaii.”  Following in the footsteps of its founders, the organization is guided by the values of compassion, aloha, respect and understanding. It is committed to excellence and serves patients by embracing the Queen Emma Way.

The Queen’s Health Systems (QHS) is the corporate parent and member of The Queen’s Medical Center, Molokai General Hospital, Queen Emma Land Company, Queen’s Development Corporation and Queen’s Insurance Exchange. Under the Corporate Enterprise Management (CEM) model adopted in October 2005, the management organization is centralized under the authority of a single chief executive officer (the President and CEO) who is accountable for all QHS corporate entities. While the entities and subsidiaries continue to maintain a board of trustees/directors for corporate oversight, QHS and its board serve as the central governance and policy-making authority, as well as corporate member of the first-tier subsidiaries. The CEM model enables the multiple corporate entities of QHS to function as a focused and integrated organization around a single mission. 

Position summary

The role of the Vice President (VP), Quality & Patient Safety is to lead the organization in fulfillment of the intent and mission of its founders, Queen Emma and King Kamehameha IV.  In doing so, the Vice President, leads with the values of its founders and commits to preserve and honor The Queen’s Health Systems’ (QHS) unique heritage.  The incumbent is responsible for designing and promoting the advancement of quality and patient safety initiatives throughout QHS to continuously improve the performance, outcomes and patient experience.     

As a member of the executive team, the VP, Quality & Patient Safety is responsible for developing the strategy, direction and culture of the organization consistent with its mission and values; establishing and achieving organizational goals, objectives and initiatives; and, implementing procedures to adequately safeguard the assets of QHS. The VP, Quality and Patient Safety is directly responsible for developing and implementing business and strategic plans to meet the goals and objectives of QHS as it relates to the clinical practice of quality and patient safety with a focus on improving patient outcomes, endorsing and sharing evidence-based care, reducing risks, eliminating errors, implementing best practices and national initiatives, monitoring compliance in accordance with accreditation/regulatory services, supporting knowledge of the key principles of High Reliability, and leading organizational change.  The VP, Quality and Patient Safety has 24/7 accountability for areas assigned.  Other areas of responsibility and organizational wide initiatives and programs may be assigned to the VP, Quality & Patient Safety. 

Key responsibilities

The Vice President, Quality & Safety is responsible for the following:

Administrative/Management Responsibilities

  • Provides leadership and direction in the activities that address the National Academy of Medicine’s Six Domains of Health Care Quality: safe, effective, patient-centered, timely, efficient and equitable.
  • Provides leadership and direction in the development, implementation, interpretation and maintenance of quality and safety standards.
  • Provides leadership and direction in the development, implementation, interpretation and maintenance of standards, policies and procedures for areas assigned and ensures compliance with local, state and federal regulatory requirements and other governing and accrediting agencies such as The Joint Commission.
  • Along with the CQO, has direct accountability for accreditation matters and practices. This includes conditions of participation relevant to Medicare and state oversight.
  • Prepares the organization to be in a constant state of readiness for matters and work related to accreditation.
  • Ensures the development and implementation of evidence-based protocols across professional disciplines to optimize quality of care and efficiency across QHS including clinical programs.
  • Develops effective working relationships with the nursing and medical staff, other health care providers, administrative staff, and other vice presidents to ensure the development of a culture of patient safety.
  • Integrates, monitors, and evaluates quality assurance, disease management, and develops standards to improve quality outcomes both clinically and administratively to ensure the highest standards in treatment and care of patients and to ensure compliance with all relevant licensing and accrediting bodies. Supports transparency and partnerships with licensing and accrediting bodies. 

Operational Leadership

  • Implements and promotes a customer-focused vision. Ensures staff understands the mission and goals of the division and department and performs their duties with superior customer service.
  • Ensures the successful management of quality initiatives.  Serves as a key advisor for organization-wide decision making in matters pertaining to quality improvement, clinical excellence and safety.
  • Integrates quality efforts and quality education initiatives in concert with the development, implementation, and ongoing monitoring of clinical performance and service outcome measurements and oversight of those operations that are integral to meeting organizational quality and safety goals.
  • Coordinates and integrates quality improvement programs within the health system and in collaboration with appropriate leadership.
  • Develops, prepares and implements ongoing multifaceted education quality initiatives that have as their goal the preparation of clinical and medical staff for future health care quality delivery systems and initiatives.
  • Establishes organizational change plans and oversees the implementation and integration of organization change efforts to ensure that objectives are met.
  • Provides leadership and direction in effective communications amongst staff and QHS entities and departments.
  • Develops effective working relationships with other executives to ensure coordination of systems and services.

Human Resource Management

  • Establishes and develops an effective management team to ensure the highest standards of excellence in practice and patient/physician/stakeholder satisfaction.
  • Creates an environment of accountability through establishment of clear expectations and consequences.  Monitors performance and behavior of teams by providing ongoing feedback and support. 

Fiscal Management

  • As a member of the executive team, participates in the formulation and forecast of operating and capital expenditures of QHS.
  • Directs the development and administration of the operating and capital expenditure budgets for companies and areas assigned. Monitors activities to ensure adherence to established budgetary goals and objectives.


  • Provides leadership and direction to management staff to ensure compliance with applicable regulatory agencies, such as The Joint Commission, OSHA, and other local, state and federal agencies along with the policies and procedures of the organization. 

Other Responsibilities

  • Role models values through communication and behaviors.
  • Serves on boards, executive committees and project teams of QHS.
  • Represents company/entity assigned at professional and community meetings and to the community at large.
  • Maintains and promotes positive working relationships with departments and staff, Board of Directors, governing agencies and other external contacts.
  • Insures employees perform their duties in a courteous, friendly manner that fosters superior customer service.
  • Demonstrates behaviors appropriate to The Queen's Health Systems' core values.
  • Complies with policies and procedures, regulatory agencies and institutional and operating systems, including Corporate Compliance policies and code of conduct.
  • Protects patient/customer confidentiality.
  • Complies with HIPAA regulations as they apply to job.
  • Performs other related duties as assigned.


  • Five (5) years of executive/management quality, patient safety and accreditation/regulatory programs experience in an institution preferably comparable in size as The Queen’s Health Systems.
  • Demonstrated knowledge of Joint Commission and CMS accreditation standards.
  • Experience in designing effective clinical practice patterns and clinical protocols to decrease unnecessary utilization and enhance quality outcomes.
  • Experience in a health system effectively organizing and directing system activities.
  • Experience to demonstrate a leadership role in successfully implementing projects and initiatives that have major impact to an organization.
  • Demonstrated knowledge of the current health care environment, forward-thinking ideas, and ability to motivate others.
  • Knowledge of advanced principles, techniques and theory in quality and patient safety.
  • Knowledge and ability to apply principles of team process and dynamics, employee empowerment strategies, personnel management, and physician relations.
  • Ability to establish, lead and maintain an effective and results oriented management team.
  • Knowledge in strategic planning, business development, budget management, and marketing. 
  • Knowledge of governing agencies’ rules, regulations, guidelines and policies related to functions, services and activities provided by areas assigned.
  • Ability to communicate effectively both orally and in writing with a broad range of people.
  • Build and negotiate collaborative relationships both internal and external.
  • Knowledge and ability to direct and coordinate organization-wide initiatives and projects.
  • Strong emotional intelligence supported by excellent “soft skills”.
  • Unwavering ethics and integrity.


  • A Master’s degree in healthcare administration, nursing or related field is required.
  • Current certification or must obtain one (1) of the following certifications within one (1) year of entrance into the position:
    • National Association of Healthcare Quality (CPHQ)
    • American Board of Quality Assurance and Utilization Review Physicians (CHCQM)


A competitive package including base salary, annual bonus and long-term compensation. 


Korn/Ferry shall provide equal employment opportunity to all qualified candidates, and will refer candidates without regard to race, color, religion, national origin, sex, age, disability, veteran status or any other legally protected basis.